Advertisement!
Author Information Pack
Editorial Board
Submit article
Special Issue
Editor's selection process
Join as Reviewer/Editor
List of Reviewer
Indexing Information
Most popular articles
Purchase Single Articles
Archive
Free Online Access
Current Issue
Recommend this journal to your library
Advertiser
Accepted Articles
Search Articles
Email Alerts
FAQ
Contact Us
Indian Journal of Anesthesia and Analgesia

Volume  6, Issue 1, Jan-Feb 2019, Pages 197-206
 

Original Article

To Study and Compare Efficacy of Ropivacaine and Bupivacaine for Caudal Analgesia in Paediatric Patients

Aishwarya Bandewar1, Alok Kumar2, Manish Kokne3

1Assistant Professor 2Junior Resident, Department of Anaesthesia, MGM Medical College, Kamothe, Navi Mumbai, Maharashtra 410209, India, 3Assistant Professor, Department of Pharmacology, HBT Medical College, Mumbai, Maharashtra 400056, India.

Choose an option to locate / access this Article:
90 days Access
Check if you have access through your login credentials.        PDF      |
|

Open Access: View PDF

DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.6119.28

Abstract

Aims and objectives: The aim of the study was to compare quality and duration of intra and post operative analgesia and need of rescue analgesia of 0.5 ml/kg of 0.25% Bupivacaine. and 0.5 ml/kg of 0.2% Ropivacaine. Methodology: We conducted a prospective, randomized, double blind study, in which 60 paediatric patients undergoing lower abdominal and genitourinary surgeries. Group A received 0.5 ml/kg of 0.25% Bupivacaine and Group B received 0.5 ml/kg of 0.2% Ropivacaine. Quality and duration of motor block, Adjunct to general anaesthesia, Margin of safety of ropivacaine over Bupivacaine was assessed. Results: Both the drugs provided post-operative analgesiaMean duration of post-operative analgesia is 344.5±29.37 min in group A & that In group B is 346.3±10.66 min (paired) two tailed p value is 0.749 which is comparable & statistically not significant. Mean duration of motor block in group A is 176.6±21.02 min and in group B was 103.8±11.79 min with P value of 0.0001 which is statistically significant. The incidence of the side effect between the two groups is not statistically significant. Conclusion: Caudal block with 0.2% Ropivacaine resulted in equal duration of analgesia with less duration of motor block as compared with 0.25% caudal Bupivacaine, without an increase in incidence of side effects when administered pre-operatively in a volume of 0.5 ml/kg to children undergoing lower abdominal and urogenital surgeries.


Keywords : Ropivacaine; Bupivacaine; Abdominal and urogenital surgeries.
Corresponding Author : Manish Kokne